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Title: Development of quality of care interventions for adult patients on home parenteral nutrition (HPN) with a benign underlying disease using a two-round Delphi approach
Authors: Dreesen, Mira ×
Foulon, Veerle
Vanhaecht, Kris
Hiele, Martin
De Pourcq, Lutgart
Pironi, Loris
Van Gossum, André
Wanten, Geert
Baxter, Janet
Joly, Francesca
Cuerda, C
Willems, Ludo #
Issue Date: 30-Feb-2013
Publisher: Churchill Livingstone
Series Title: Clinical Nutrition vol:32 issue:1 pages:59-64
Abstract: BACKGROUND & AIMS: HPN patients with benign diseases deserve professional care as they have to deal with complex techniques and risk potentially dangerous complications. The aim was to highlight main outcome quality indicators and to develop a set of key interventions to direct multidisciplinary teams in providing qualitative care.

METHODS: A two-round Delphi approach was used to build consensus on the most important outcome indicators and on 59 interventions identified in existing guidelines on HPN. Comments and interventions newly identified in the first round were co-evaluated in the second round.

RESULTS: 29 experts from 9 countries completed the two-round Delphi approach. The outcome indicators rated as the most important are 1) incidence of catheter-related infections, 2) incidence of readmission and quality of life (shared second place) and 3) incidence of dehydration. Sixty eight of a total of 89 interventions were considered as important for the quality of care, of which 46 are based on published guidelines and 22 were newly suggested by the Delphi panel.

CONCLUSIONS: Using a two-round Delphi approach, consensus was reached for the majority of interventions concerning HPN patients with benign diseases. This set of 68 interventions could be of use as a starting point for quality-improvement programs.
ISSN: 0261-5614
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Translational Research in GastroIntestinal Disorders
Centre for Health Services and Nursing Research
Research Centre for Clinical Pharmacy (-)
Research Centre for Pharmaceutical Care and Pharmaco-economics (-)
× corresponding author
# (joint) last author

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